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Doctor insights on: Bilobed Lower Pole Nodule Thyroid

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Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


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Throid nodules. Upper right lobe hot, lower right lobe cold 3.4cm. Does that mean I have hyper and hypo thyriodism at the same time?

Throid nodules. Upper right lobe hot, lower right lobe cold 3.4cm. Does that mean I have hyper and hypo thyriodism at the same time?

No, the activity: Of individual nodules on a thyroid scan may not, in and of themselves, imply hyper or hypothyroidism, which are diagnoses based on systemic symptoms and blood levels. Certainly, however, an autonomous hot nodule could result in hyperthyroidism. Cold nodules have a higher chance of malignancy (although still relatively low), and biopsy may be indicated. ...Read more

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I had u/s on thyroid and it found 2 nodules. Both on left - 1 at interpolar region and 1 at lower left pole. Where are these locations? Close together?

Thyroid nodules: Who did the diagnosis, you and confirmed by a DR.?
You require a Thyroid scan with 1131, and a fine needle aspiration biopsy.
About 1/10 % of nodules may became cancerous, therefore an endocrinologist should see you. Medicine is advancing by leaps and bounds but it can still be difficult to determine if a thyroid nodule is cancerous or not. Now, people with thyroid nodules can benefit from the latest diagnostic technology. Ask your doctor about Afirma® Thyroid FNA Analysis, a proven solution that may dramatically affect how your nodule is diagnosed and treated. ...Read more

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Rt thyroid lobe homogenous in echogenicity measures 5.6x1.7x1.8cm w/multiple nodules largest meas. 1.0x0.6x0.9 located in lower pole.?

Rt thyroid lobe homogenous in echogenicity measures 5.6x1.7x1.8cm w/multiple nodules largest meas. 1.0x0.6x0.9 located in lower pole.?

Follow up needed: Hi SFleming,
There is much to be said and discussed about this finding but truthfully, you will be better served by consulting with your local doctor. I highly encourage you to follow up with your doctor as soon as possible to discuss further work up options to better define what is going on. Thank you for reaching out and hope you feel better soon! ...Read more

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Heterogeneous hypoechoic nodules in bilateral thyroid lower pole, measuring 1.7 CM on the right and 0.5 CM on the left. Is it can be cancerous?

Heterogeneous hypoechoic nodules in bilateral thyroid lower pole, measuring 1.7 CM on the right and 0.5 CM on the left. Is it can be cancerous?

Not likely: Cancer is not likely but you should follow your doctor's advice for further evaluation, be that a thyroid scan or fine needle aspiration of the lesions. ...Read more

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Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?

Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?

FNA not essential: As the nodule is less than 1 cm. FNA biopsy is not essential in most cases. But if any risk factors like history of radiation to head or neck or family history of thyroid cancer then need to follow up more closely by ultrasound and may also consider FNA biopsy ...Read more

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Decrease in thyroid gland size and increase in thyroid nodule size?

Decrease in thyroid gland size and increase in thyroid nodule size?

Concern: Thyroid gland do not change in size that much. Majority of thyroid nodules are benign, increase in size is a concern, should have fna biopsy (cytology) to make sure there is no malignancy in it. ...Read more

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What to do if I had a ultrasound done and was informed that What to do if I had a hard nodule on the lower pole of the right thyroid lobe.?

What to do if I had a ultrasound done and was informed that What to do if I had a hard nodule on the lower pole of the right thyroid lobe.?

Thyroid nodule: Speak with your doctor. Depending on the specific ultrasound features of the nodule, the presence of other nodules, and within the context of your overall clinical picture, it may need a needle biopsy for a definitive diagnosis. ...Read more

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Do all nodules caused by Hashimotos have similar characteristics? Do they have a greater or lower chance of being cancerous as other thyroid nodules?

Do all nodules caused by Hashimotos have similar characteristics? Do they have a greater or lower chance of being cancerous as other thyroid nodules?

The "nodular": Tissue of Hashimoto thyroiditis is "irregular" and can best be evaluated with various thyroid imaging methods! As far as I know there is no increase in thyroid cancer in patients with classic Hashimotos

Hope this is helpful
Dr Z ...Read more

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Recent US shows right side of thyroid a large nodule 3.9 x 2.1 x 2.3 cm. L Mid to lower left lobe shows a discrete hypoechoic heterogeneous nodule 2.

Thyroid nodule: If you were not seen by an endocrinologist, you should be referred to one for possible biopsy. You should also have a thyroid panel done. ...Read more

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Thyroid lower right lobe nodule 3.4x2.6x2.2cm and cold. FNA is undetermained signicance, some collod w/predominance of microfollicles. Watch or remove?

Thyroid lower right lobe nodule 3.4x2.6x2.2cm and cold. FNA is undetermained signicance, some collod w/predominance of microfollicles. Watch or remove?

Clinical correlation: Since the fine needle aspiration (small sample which may not be representative) is not conclusive, it is necessary that your physician weighs the options based on other clinical symptoms. However, with a large mass like this, it is probably wise to excise the mass with adequate margin an have it examined completely by the pathologist ...Read more

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If I had a thyroid scan that read: left lobe of gland is mildly enlarged at 5.8cm x 1.7 x 2.2. There is a avascular 3 mm hypoechoic nodule in the lower pole of the left lobe. How would I know if it was " hot or cold"?

If I had a thyroid scan that read: left lobe of gland is mildly enlarged at 5.8cm x 1.7 x 2.2. There is a avascular 3 mm hypoechoic nodule in the lower pole of the left lobe. How would I know if it was " hot or cold"?

Ultrasound results: What you are describing are ultrasound results. A hypoechoic nodule of 3 mm of size is nearly 100% benign.

The only reason to assess if a nodule is overactive (hot) or underactive (cold) is in general hyperthyroidism. If the nodule is hot, then it can be the target of therapy. This is done through a i-131 uptake and scan. ...Read more

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I had an ultrasound of my thyroid that states thyroid has multiple subcentimeter nodules but is homogeneous in echotexture with no mass, nodule, or other abnormality, Hypoechoic nodule at the lower pole on right 3x3x3mm, cystic nodule in the interpol?

I had an ultrasound of my thyroid that states thyroid has multiple subcentimeter nodules but is homogeneous in echotexture with no mass, nodule, or other abnormality, Hypoechoic nodule at the lower pole on right 3x3x3mm, cystic nodule in the interpol?

See Specialist: I would take the results and follow up with Endocrinology or a Ear Nose and Throat specialist
Should also have complete Thyroid labs done. Need more information about your medical history, meds, and other family history you have.
Continue to follow up and you will get your situation resolved and need not worry. ...Read more

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A 0.3 x 0.5 x 0.3 CM hypoechoic cystic nodule with punctate internal echo is noted in the lower pole of the right lobe of the thyroid gland.?

Small nodule: Often cystic thyroid nodules can have denser regions called "punctate foci". If the nodule is not cystic those can also be microcalcifications, a finding that increases the risk of thyroid cancer. The key though is that the nodule is very small and therefore requires monitoring only, no matter what its nature may be. ...Read more

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My TSH is on the high side of normal and I take levothyroxine. Am I at lower risk for developing thyroid nodules as a result?

My TSH is on the high side of normal and I take levothyroxine. Am I at lower risk for developing thyroid nodules as a result?

No: Nodules cannot be prevented by levothyroxine, nor can that drug shrink or otherwise change nodules. Nodules occur for other reasons, outside the control of that drug. ...Read more

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Recent thyroid ultrasound with results of hyperechoic nodule at the left lower thyroid, and heterogeneous echotexture. What happens next?

Recent thyroid ultrasound with results of hyperechoic nodule at the left lower thyroid, and heterogeneous echotexture. What happens next?

Most likely: Your doctor will do FNA (Fine needle aspiration) biopsy. It is simple safe and painless, analysis will give diagnosis ...Read more

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I woke a few days ago with pain and swelling on the lower front of neck. I can feel restriction wben swallowing. Could my thyroid nodules be reason?

It is unlikely: It is unlikely for a thyroid nodule to cause pain and swelling.
Pain/swelling in the midline front of the neck may represent thyroiditis, inflamed thyroid gland, or superinfected thyroglossal cyst.
However, if you feel any lumps that are getting larger, or have been in your neck for longer than 2 weeks, see your doctor right away, as this can represent infected or possibly cancerous lymph nodes! ...Read more

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Ana positive 1:32 speckled pattern negative tier. What does that mean? And could it be related to thyroid nodule in left lower lobe? Homogenous?

Ana positive 1:32 speckled pattern negative tier. What does that mean? And could it be related to thyroid nodule in left lower lobe? Homogenous?

ANA: You likely don't have lupus. ANA cross reacts with thyroid antibodies. You have hashimotos disease causing a thyroid nodule. See an endocrinologist. ...Read more

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Hello I have been diagnosed with a small module on my left lower lung. A low density lesion on my liver and a 6mm nodule on my right thyroid lobe.?

Hello I have been diagnosed with a small module on my left lower lung. A low density lesion on my liver and a 6mm nodule on my right thyroid lobe.?

See below: Such multiple findings as you describe are not uncommon on various imaging studies such as CT scans of the chest, abdomen, pelvis that include the thyroid, lung, liver, and kidneys where small sub-centimeter (<10 mm) nodules are commonly noted which are most often benign and clinically insignificant but which often deserve a follow-up study in 6-12 months. You should discuss this with your doctor. ...Read more

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Mri & ultrasound found retrosternal, mixed density, inhomogeneous, moderately vascular complex thyroid nodule from mid to lower pole. What's it mean?

Mri & ultrasound found retrosternal, mixed density, inhomogeneous, moderately vascular complex thyroid nodule from mid to lower pole. What's it mean?

A word of caution.: Many physicians perform fine-needle aspiration biopsy; the use of ultrasound will increase the likelihood of biopsying the correct location within the thyroid. There is a significant false negative rate of biopsy even with ultrasound, and the intrepretation of the biopsy varies a great deal based on the experience of the pathologist. Do not base any medical decision solely on the biopsy results. ...Read more

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Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity

Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity

Yes it's possible: Any thyroid nodule over 4 cm needs to be removed surgically to make sure not cancerous per ata guidelines. I would still get a fna first before going to surgery but needs to be removed. More info on my website on thyroid nodules at www. Cvsurgicalgroup. Com. ...Read more

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TSH 0.6 (0.4-4.0) Calcium, phosphate, adjusted calcium all very bottom of normal. I have a small thyroid nodule does this account for my lower scores

TSH 0.6 (0.4-4.0) Calcium, phosphate, adjusted calcium all very bottom of normal. I have a small thyroid nodule does this account for my lower scores

Possible: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, depending on the nature of the nodule it is possible that a nodule made of c cells of the thyroid may cause the calcium to be low. ...Read more

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I have a 3.5cm thyroid nodule with lower neck swelling, but normal TSH, T3, T4 blood levels. What could be causing this?

I have a 3.5cm thyroid nodule with lower neck swelling, but normal TSH, T3, T4 blood levels. What could be causing this?

Goiter or Cancer?: A Thyroud mass can be benign in which case it is called a Goiter. There is about 10% risk that it can be a cancer. You should see your physician for further trests such as an ultrasound and or a Needle biopsy. Blood tests only show if your thyoid functions are normal or not. Since these are normal, you now need to go to the next step of further evaluation to find the cause of your Thyroid nodule. ...Read more

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On left side of lower neck, a small nodule under skin (lymph node?), it is soft, same size. Not protruding. No pain. Any way of knowing what it is?

On left side of lower neck, a small nodule under skin (lymph node?), it is soft, same size. Not protruding. No pain. Any way of knowing what it is?

Sounds like: Lymph node, but it could be something else. IF it is truly a lymph node, lF is less than 1 cm, and IF it is not enlarging, it is probably nothing. But that is a lot of IFs. Best to show it to your doctor. ...Read more

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6mm nodule in lower neck not grown in 1yr. Takes up contrast a little more each PET. Is this likely to be cancer? Too close to carotid to biopsy? I wa

6mm nodule in lower neck not grown in 1yr. Takes up contrast a little more each PET. Is this likely to be cancer? Too close to carotid to biopsy? I wa

Unlikely: "malignant" if no growth in one year!!!!

More likely than not a reactive lymph node (from a resolved infection....throat etc)


Hope this is helpful!
Dr Z ...Read more

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How serious can nodule thyroid can be?

Depends: On the type of thyroid nodule and what the biopsy says and if it is an active nodule or malignant ...Read more

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What is a not active nodule on my thyroid?

What is a not active nodule on my thyroid?

It depends: A, "not active" nodule of the thyroid, also referred to as a, "cold nodule" was classically one which did not trap various radioactive tags on nuclear thyroid scanning. Classically, a solitary cold nodule was felt to be at a 50% risk for harboring a malignancy. As a result, such nodules are often subjected to needle biopsy, frequently under ultrasound guidance, for further evaluation. ...Read more

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What does a nodule in your thyroid feel like?

Depends on size: You might not feel anything if it's small. Otherwise, it could feel like a lump, a node and if it's big enough, it can feel like a growth/mass on your neck. If it's liquid, like a cyst, it could be soft. If it's a solid growth, it could be rubbery and if it's calcified, it could have a rock/hard feel to it. ...Read more

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What does the thyroid with nodules look like?

What does the thyroid with nodules look like?

Varies: Nodules may be visible lumps beneath the surface or invisible ones in the body of the organ, that may be palpable by trained fingers. Ultrasound & radionuclide scans are used to visualize & help characterize them. See doc for thyroid blood tests & follow-up imaging studies if needed. ...Read more

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What are the symptoms of nodules on a thyroid..

Thyroid nodules: Thyroid nodules may have no symptoms, may have symptoms of an overactive thyroid, or an under active thyroid.

Please see your doctor, explain any symptoms, and then the doctor will examine you and decide what the next moves are if needed. ...Read more

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What is a low non- attenuated nodule on thyroid?

What is a low non- attenuated nodule on thyroid?

Thyroid nodule: Thyroid nodules in women are common. Most thyroid nodules are benign. Dependent on size and other characteristics a needle aspiration biopsy is often performed to stratify whether surgery is required. ...Read more

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Can a benign nodule in a thyroid turn into bad ones?

Can a benign nodule in a thyroid turn into bad ones?

No: Thyroid cancers start as thyroid cancers and form cancerous nodules. Benign nodules start benign and do not become malignant. ...Read more

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What are indeterminate complex nodules in my thyroid?

What are indeterminate complex nodules in my thyroid?

Indeterminant: You did not mention about findings of ultrasound and thyroid scan. Please have fresh look with experienced endocrinologist, expert pathologist and thyroid surgeon. You can have slide read by other thyroid pathologist or have second fna by experience endocrinologist. 25-50% cancer rate. Complex nodules must be watched closely. Please read thyroid nodule at http://doctorrajput. Com thanks. ...Read more

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Just found out I have a nodule of. 4cm on my thyroid right side is this bad?

Thyroid nodules: Thyroid nodules are common, especially when ultrasound is used. Because of the the size limits are commonly used to determine who needs a biopsy, along with other factors such as personal and family history, and other characteristics. Most nodules less than 1 cm do not need to be biopsied. Follow-up at that size might also not be required very frequently. ...Read more

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Do I have to have my entire thyroid removed if I only have nodules in one side?

Do I have to have my entire thyroid removed if I only have nodules in one side?

Depends: It depends on the nature of the nodule. If it is malignant, then the whole gland needs to come out. If it is benign, then even the nodules need not be removed. ...Read more

Dr. Warren Foster
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more